Organization
CORWIN FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CORWIN (PRESIDENT)
(701) 282-5930
Entity
Organization
Contact information
Practice address
120 1ST ST, WEST FARGO, ND 58078-1835
(701) 282-5930
Mailing address
120 1ST ST, WEST FARGO, ND 58078-1835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2219
ND
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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